Idaho
Division of Occupational and Professional Licenses
JAKE MICHAEL MARTIN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4653
Date granted
05/04/2016
Date expires
06/18/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
SAN MARCOS CA 92078
idaholicensing.com
ID 43732197
LAST UPDATED 2024-03-07 11:51:40 UTC
LAST UPDATED 2024-03-07 11:51:40 UTC
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